Quality Quarterly

HQI Quality Analytics System Expands, Adds New Features to Support Hospitals 

Use of HQI’s updated Hospital Quality Improvement Platform (HQIP) — a quality analytics system that consolidates disparate data sources into a single, statewide platform — continues to increase as more hospitals complete their contract reviews.   

The secure, web-based platform provides quality measures for conditions most affected by hospital quality initiatives. Through the platform, hospitals gain access to clinically rich, timely reports to help easily identify opportunities for improvement and areas for focus. It is free to all California Hospital Association members, does not connect to your electronic health records system, and uses data hospitals already report to the California Department of Health Care Access and Information (HCAI), the National Healthcare Safety Network (NHSN), and the California Maternal Quality Care Collaborative.   

Since launching in October 2019: 

  • 352 of 476 hospitals have seen a demo of the platform 
  • 157 hospitals have executed agreements 
  • 135 hospitals have participation agreements under legal review 


In addition to participation expansion, here’s what’s new to HQIP since the last update: 

  • Added Top 5 Focus Widget to the landing page and deep dive Top 5 Focus report. The report focuses on falls, pressure injuries, anticoagulant ADEs, CLABSI, and CAUTI rates.  
  • Updated Social Determinants of Health report. Instead of focusing on just the first three characters of the ICD-10 codes (i.e. Z55), the report now lists all the codes in a dynamic roll-up table. Users are now able to see detailed codes that fall under each social driver category.  
  • Updated code set for Chronic Conditions + Other Chronic Conditions. 
  • Updated code set for DRA HAC. 
  • Updated Quality Transparency Dashboard data with latest CMS release in November. 

If you have feedback about features and measures you would like to see, email our HQI technical team at HQIAnalytics@hqinstitute.org


HQI is looking to improve various reports, such as readmission and mortality, by adding measures for diagnosis- and procedure-specific rates that track the definitions used by the Centers for Medicare & Medicaid Services for the Inpatient Quality Program. HQI is also developing new reports on severe maternal mortality, pediatric quality measures, disparities in quality outcomes, and rural hospital quality and reporting measures. The statewide HCAI Limited Dataset for 2022 is expected to be imported into the Hospital Quality Improvement Platform by the end of December 2023. 


Features include:  

  • Access to hospital performance data from various sources, integrated into a centralized platform 
  • Tools to understand your hospital’s quality performance and compare standardized measures to statewide benchmarks and peers 
  • The ability to explore same-year quality performance for your hospital, rather than waiting eight to 20 months for statewide files to be released 
  • An intuitive interface that provides a window into inpatient and emergency quality indicators 
  • Secure data within HIPAA-qualified encrypted data systems 

Quality measures include:  

  • Inpatient case mix demographics, comorbidities, index    
  • ED discharge analytics (comorbidities, volume, demographics, revisits)    
  • Ambulatory surgery demographics  
  • Agency for Healthcare Research and Quality patient safety indicators    
  • Sepsis incidence and mortality    
  • Maternity measures    
  • Discharge volume by source (inpatient, ED, ambulatory surgery)   
  • Social determinants of health   
  • Chronic physical and behavioral conditions   
  • NHSN measures, trends, and details  

There are many options for benchmarking your hospital’s performance:   

  • All CHA member hospitals    
  • Other critical access hospitals    
  • Other rural hospitals   
  • Other children’s hospitals    
  • Other teaching hospitals   
  • Other hospitals with the same payer (e.g., IEHP, PHC)  
  • Your hospital’s past performance    
  • Other CHA member hospitals:    
  • In the same health system    
  • In the same general region   
  • In the same health service area   
  • In the same metropolitan statistical area   
  • With similar bed size   
  • With the same type of control (e.g., non-profit)   
  • With the same license type   
  • With similar Medicare payer mix   
  • With similar Medi-Cal payer mix   
  • With the same adult/children’s trauma level designation    
  • With similar inpatient discharge volume   
  • With same ED service level (e.g., basic, standby)   
  • With similar outpatient visit volume   

For hospitals interested in participating, all it takes are three easy steps:    

  1. Execute the cost-free HQI-Hospital Service Agreement and  HQI-Hospital Business Associated Agreement.     
  1. Follow the HCAI Patient-Level Administrative Data (SIERA) HQIP Upload Instructions to securely submit copies of recent HCAI Patient-Level Administrative Data for ED, ambulatory surgery, and inpatient encounters.     
  1. Follow our NHSN HQIP Group Join Instructions to confer rights to HQI’s NHSN group on the Centers for Disease Control and Prevention’s Secure Access Management Services web portal.   

For more information about the HQIP or to schedule a 30-minute demo, visit the HQI website or email HQIAnalytics@HQInstitute.org.